Individual provider Active NPI

Michalene Perry

  • Mental Health Counselor
  • Lincoln Park, NJ
National Provider Identifier
1336854686
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8763 Issued in LA
Practice address
63 Beaverbrook Rd
Lincoln Park, NJ 07035-1440
Phone
(986) 206-0414
Fax
(406) 794-0395
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8171960 ID
Mental Health Counselor 101YM0800X LPC0022629 CO
Mental Health Counselor 101YM0800X C10309 OR
Mental Health Counselor 101YM0800X 8763 LA Primary

Addresses

Primary practice location

63 Beaverbrook Rd
Lincoln Park, NJ 07035-1440

Mailing address

6103 Ball Loop Lot 3
Ball, LA 71405-9416
Phone (724) 854-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218003401 LA Practitioner - Mental Health Counselor 1557856317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Inspired Counseling and Consulting LLCGroup PAC ID 8426497306, 12 clinicians

Practice addresses (Care Compare)

2220 Shreveport Hwy
Pineville, LA 71360-4041
Phone (318) 266-7021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC0022629COMDMental Health Counselor
8171960IDMDMental Health Counselor
8763LAMDMental Health Counselor
C10309ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be Inspired Counseling & Consulting LLC CurrentSince Feb 2, 2026 Accepting new patients

Locations

2220 Shreveport Hwy
Pineville, LA 71360
Phone (318) 266-7021

Interoperability endpoints

  • Direct secure messaging: michalene.perry@489656322949124.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1336854686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 BALL LOOP LOT 3",
            "city": "BALL",
            "state": "LA",
            "postal_code": "714059416",
            "telephone_number": "724-854-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVERBROOK RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351440",
            "telephone_number": "986-206-0414",
            "fax_number": "406-794-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MICHALENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8171960",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC0022629",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C10309",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, NJ

Sources for this page

Verify at the official NPI Registry.